Harrison, Steven

Harrison, Steven is an individual health care provider with primary practice located at 5601 Domingo Rd Ne , Albuquerque NM 87108-1610. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Harrison, Steven can be contacted via phone (505) 268-5295.

Contact Information

Primary practice address
5601 Domingo Rd Ne Albuquerque NM 87108-1610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1477906733
LBN Legal business name Harrison, Steven
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 21st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477906733 NPPES
New Mexico MEDICAID B9311

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